Provider Demographics
NPI:1891447918
Name:KUZAWA, CARSON RAY (PA-C)
Entity Type:Individual
Prefix:
First Name:CARSON
Middle Name:RAY
Last Name:KUZAWA
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7311 STARFLOWER # TX77494
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0179
Mailing Address - Country:US
Mailing Address - Phone:832-454-9519
Mailing Address - Fax:
Practice Address - Street 1:1429 HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5134
Practice Address - Country:US
Practice Address - Phone:713-781-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical